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2003, 01-03 Permit App: 03000039 DuplexProject Number: 03000039 Inv: 1 Application • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DUPLEX W/GARAGES - GAS Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005865 Name: 51:409g:a6.. Parcel Number: 45172.1354 Block: SitcAddress: 9820 E BOONE AVE SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: 011 MODERN Contact: KRISTENSEN, JOYCE Address: 10321 E MAIN #206 C - S - Z: SPOKANE WA 99206 Phone: (509) 922-2000 Group Name: Project Name: District: F Lot: B Owner: Name: KRISTENSEN, JOYCE Address: 10321 E MAIN #206 SPOKANE WA 99206 Hold: Li Arca: ;,703.00 Acres Width: 100 Depth: 165 Right Of Way (ft): 25 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Rei'ieiv Information: Review Site Plan Review Plan Review Page 1 of 3 Released By: Approach / Drainage /02 FM -3 Landuse/Zoning Operator: JAS Printed By: JAS Print Date: 1/3/2003 Project Number: 03000039 Permits: Inv: 1 ti Application Date: 1/3/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: New Nbr Of Dwellings: BldgWxD: x Req Parking: Description Grp 2ND FLOOR R-3 GARAGE U -I RESIDENCE R-3 Building Permit — Firm: OWNER Phone: Building Characteristics Group: Type: Occupant Load: Building Height: Stories: Building Sq Ft: Sprinklers: ❑ Handicap Parking: Critical Materials: 1 This Application: Total Project: Type Notes Sq Ft Valuation Sq Ft Valuation VN 1,308 $92,928.00 1,408 $92,928.00 VN 968 $11,616.00 968 $11,616.00 VN 2,304 5152,064.00 2,304 $152,064.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description DUCT SYSTEMS VENTILAT[NG FANS CLOTHES DRYER Operator: JAS Totals: 4.680 $256,608.00 4,680 $256,608.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR .BLANK Permit Total Fees: Mechanical Permit Firm: OWNER Phone: Units Unit Desc 2 NUMBER OF 8 NUMBER OF 2 NUMBER OF Permit Total Fees: Fee Amount $1,680.00 $4.50 $369.60 $2,054.10 Fee Amount $20.00 $80.00 $20.00 $120.01) Printed By: JAS Print Date: 1/3/2003 Page 2 of 3 Project Number: 03000039 Inv: 1 Application ' THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/3/2003 Page 3 of 3 Contractor: OWNER Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER ELECTRIC HOT WATER TANK WATER USING DEVICES Notes: Payment Sunnnarv: .: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: OWNER Phone: Units 4 8 2 2 2 2 2 4 Fee Amount $2,054.10 $120.00 $156.00 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $2,054.10 $120.00 $156.00 Fee Amount $24.00 $48.00 $12.00 $12.00 $12.00 $12.00 $12.00 $24.00 Amount Paid $0.00 $0.00 $0.00 $156.00 Amount Owing $2,054.10 $120.00 $156.00 $2.330.10 $2,330.10 $0.00 $2,330.10 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 1/3/2003 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SroKKKE COUNTY SPECIFIC SITE INFORMATION d egel 'e go- ' Assessor's Tax Parcel umber(s): j l ] `� / S L/ Ld Street Address: Legal Description: _ 1)9Q Project Description: ,,Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only � Phone: ,5299(Y/y O7 6,,2Z'A•al,t) . ❑ Applicant: Water District/Purvey r I - �^ `/` Sewer District/Purveyor Road width Mailing Address- Setbacks Front eft: Rear. Right. School District ` J V Fire District: Zoning ...3 ,I OWNER/APPLICANT INFORMATION 0 Indiade who shozi/dJ e , orrhzded n ,rrdirr,' this rroied ❑ t hi ner � Phone: ,5299(Y/y O7 6,,2Z'A•al,t) . ❑ Applicant: Phone: \I ng :\ re's' /n4a /6 e— 4 Ro Mailing Address- Unfinished basement sq. ft. Cin, Stat . Zip /44 City, State, Zip 2"`t Floor syC.jft. 7d'7 ("/ X111. ❑ Contractor PhonePhone Faz ❑ rchitct.n{,nncrr i��Ian Construction type Jut It - \Luling address a Mailing a fess ,o ex h17ff Cost of project (:in, State Zip 1 teat sour ( cctn gas, etc.) A (lin,/S ttom/aaA Zip Ad Afildj oddgh 4&649 \\ :\ State Contractor license # Contact PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions ...-1 6 X 7 /44 'Total habitable space ,1 2"`t Floor syC.jft. 7d'7 ("/ X111. /' Finished basement sy. ft. Occupancy group 0, 11110 - Construction type Jut It - Garage sq. ft. j� t yN'9 a Deck sy. ft. io x e50 - M/ Cost of project 1 teat sour ( cctn gas, etc.) A Manufactured HomeSign Fire Safety Width: Length: What is the square footage of the sign face? I low high is the sign? Year: Make: # of signs Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? O Yes 14 No Address Proposed use Relocation Fire Safety Pine Name What is the current use of this property? r0 Previous address 'i( Will the site be served by a septic system? O Yes ® No Paint booth Fire Sprinkler Tent Fire _Harm Fireworks display Are critical or hazardous materials used or stored on site? O Yes 14 No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Pine Name What is the current use of this property? r0 Phone 'i( Will the site be served by a septic system? O Yes ® No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? O Yes ,i No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( -----"--.N O Yes $ No Are critical or hazardous materials used or stored on site? O Yes 14 No Address 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes A No If yes, identify on site plain What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, idenift on site plan O Yes A. No What is the current use of this property? r0 Is your property in a designated wildlife habitat area? O Don't know O Yes X No 'i( Will the site be served by a septic system? O Yes ® No Is any part of the property within a 100 yr flood plain? 1f yes, idem t on site plan O Maybe O Don't know O Yes A, No Are or will there be wells located on the property? If yen, 'de/gift on the site plan O Yes NI No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan O Yes X No Is there evidence of fill or excavation on the property? O Yes ,i No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( -----"--.N O Yes $ No Are critical or hazardous materials used or stored on site? O Yes 14 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? 0 Yes OYes 0 No 0 N Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received - Staff Representative METHOD OF PAYMENT V ❑ CASH ❑ (:III?CK ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I?SPIRI?S: BAN K.CARIL NUMBI•:R: \Ul'1 IORIZU.1) SIGNATURE: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS S35.00PLE\SE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER ZONE ROAD WOTH F RC) NT REVF:-.7v YE' -at 0-9/ This eiao toincl submitted for the eoSef is no correct representati:;n f the prop: nt. All known property !inesIdime7iF0715. curb !,;-,e.s. structures a d easements have boon rtfied. to ,-_iicat,--2d are v etiands, bodies of viiatqr. steep siopes or er crit ai Signed: D ©f V